Pelvic pain, especially before or during your period
Period pain that is severe or getting worse over time
Pain during or after sex
Pain with bowel movements or urination, especially during your period
Heavy menstrual bleeding or bleeding between periods
Bloating, nausea, or digestive discomfort during periods
Lower back or abdominal pain
Trouble getting pregnant
Fatigue
Symptoms that improve when your period ends
Symptoms that do not respond well to typical pain relief
A doctor’s evaluation, since endometriosis cannot be confirmed by symptoms alone
Pelvic exam, imaging, or laparoscopy as part of diagnosis